Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Destiny's Fulfilled LLC

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1891764882

Destiny's Fulfilled LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Richmond, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1908 Chevelle Dr
Richmond, VA 23235-5641
Phone: (804) 276-1702
Fax: (804) 276-6051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X · Licence 320-2006 (VA)

Record details

NPI number1891764882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacey Cook — Chief Exectuive Officer · (804) 276-1702
NPI enumeratedMarch 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 74924, Richmond, VA 23236-0016

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